Mimi Consulting | |
1950 E 5th St Long Beach CA 90802-2023 | |
(714) 608-2307 | |
Not Available |
Full Name | Mimi Consulting |
---|---|
Speciality | Clinic/Center |
Location | 1950 E 5th St, Long Beach, California |
Authorized Official Name and Position | Mireille Millet (OWNER) |
Authorized Official Contact | 7146082307 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Mimi Consulting 700 W La Veta Ave Unit C8 Orange CA 92868-4412 Ph: (714) 608-2307 | Mimi Consulting 1950 E 5th St Long Beach CA 90802-2023 Ph: (714) 608-2307 |
NPI Number | 1164945069 |
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Provider Enumeration Date | 07/23/2017 |
Last Update Date | 01/17/2018 |
Medicare PECOS PAC ID | 0749540193 |
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Medicare Enrollment ID | O20180205001553 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164945069 | NPI | - | NPPES |
LCSW64232 | Other | CA | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (California) | Primary |
Provider Name | Mireille Millet |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1740570647 PECOS PAC ID: 8123346624 Enrollment ID: I20150413002557 |
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